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Archive for the ‘Smooth or Crunchy’ Category

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Where are the lines drawn between the disease-stricken hoarders, the messy clutterers and the over-enthusiastic collectors? Dr. Barry Lubetkin, Phd, ABBP offers us insight on the distinction between a diagnosed disorder and a hobby or personality characteristic.

Hoarders and Clutterers and Collectors Oh My!!!

The Psychiatric problem of hoarding had been under diagnosed for many years .But recently with increased media attention(see several New York Times articles in the past four months),the

wildly popular reality TV show “Hoarders” and recent major advances in the diagnosis and treatment of this mental affliction, many more people are getting professional help.
It is important to point out that while many of us may have lived with and accepted clutter in our homes for our entire lives, being diagnosed as a hoarder requires that the clutter must seriously interfere with the quality of our lives and risk our safety. Navigating through dangerous paths in our home with furniture and garbage piled on either side, shame of exposure leading to living lonely isolated lives, or irrational superstitious beliefs that cleaning up or throwing out certain articles will lead to terrible consequences………these all will confirm the diagnosis.

The etiology of hoarding is multi determined…….a previous diagnosis of obsessive compulsive disorder, prolonged depression, unkempt,and chaotic childhood homes, have all been implicated. Even the well intentioned collector who has enjoyed his passion for saving and displaying his collections is sometimes at risk if other psychiatric disorders emerge and create a vulnerability to depression and indifference to caring for themselves or their living conditions.

Treatment involves a variety of interventions :Anti depressant medication,engaging family support during the clearing process, Cognitive Behavior Therapy to reduce anxiety and panic and designed to educate the hoarder on the irrational and superstitious thinking elements of the disorder,and guided practice in controlling their environment post treatment.

With less serious clutter collectors who feel their mess has gotten difficult for them to control, I suggest starting with small portions of the affected areas (one corner of the bedroom,piles of books and papers on the floor,etc), and slowly progress over time to prioritize what to throw out. Dividing your “stuff” into A ,B and C groups………must keep, maybe keep, must dispose, is often very helpful. Feel free to contact me at ibt104@aol.com for further advice.

 Barry Lubetkin, Phd, ABBP is co-director of the Institute for Behavior Therapy in Manhattan.  Dr. Lubetkin has written two widely acclaimed books. Bailing Out (Simon and Schuster and Prentice Hall Press) and Why Do I Need You To Love Me In Order To Like Myself (Longmeadow and Borders Press). In addition, his 3-disc audio series on treating insomnia Dr. Barry’s Sound Asleep has recently been published. 

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One Fear illustration from Book of Fears

One Fear illustration from Book of Fears (Photo credit: Wikipedia)

PHOBIAS and IRRATIONAL FEARS

By Dr. Barry Lubekin

Human beings experience hundreds of different phobias and overwhelming fears and anxieties. Many are deep rooted, and find their origin in long forgotten childhood traumas. Others develop more recently and are traced to reactions to frightening events or complex relationship dilemmas. When these phobic reactions actually interfere with normal daily functioning,professional intervention is the best course.

Here is an example of the 2 origins of an airplane flying phobia: the first patient was traumatized at age 11 when flying with her newly divorced parents,the plane hit very unsettling turbulence and she was very uncomfortable flying as an adult.  The second patient, panicked at the possibility that her husband was cheating on her,refused to fly to various job assignments, fearful that the husband would carry on his affair while she was gone! Note….the same fear with two very different origins, and treated in very different ways.

The most effective treatment for irrational simple phobias is called “flooding” and involves gradual exposure in imagery and in real life to the phobic object or situation. More complex phobias( eg. The fearful wife above) are best treated with cognitive behavior therapy(CBT) involving assertiveness training, meditation and relaxation techniques, and challenging irrational needs for dependence,and superstitious beliefs.

Do you have a phobia? Describe it to me in a private email. Send to IBT 104@aol.com and I will be happy to let you know the best treatment options available. Make your message attention to Dr. Lubetkin. Looking forward to hearing from you!

Dr. Barry Lubetkin is in private practice in NYC. He is the co-director of the Institute for Behavior Therapy.  He is a published author and frequent guest on TV and radio shows as an authoritative voice on mental health issues.

 

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This week, Dr. Barry Lubetkin gives us some insight on our need to please!

Do you have the “Disease to Please”????

Approval cravers are terrified that if they garner disapproval from certain friends and family, these people will disappear. Many of my patients have told me that they genuinely fear that if they anger a significant person in their life, that person would drop away forever. The mental distortion operating here is that all of the wonderful years of friendship and warm shared experiences will be negated by a single incident of disagreement.

Margaret Adam

Margaret Adam (Photo credit: Joi)

While that may occasionally occur,most good friends are able to overlook single incidents and talk things over.

In a 1971 article Margaret Adams wrote about the “compassion trap “where females in particular believe that their very existence is defined by service and compassion for others. Overcome this self defeating philosophy whenever you are annoyed or upset with another’s behavior by the following steps:

1. Express your upset directly without candy coating it.

2. Clarify your expectations of the other person and the goals you desire

3. Challenge your internal irrational fears of retribution

4. Prepare for resistance or refusal from the person to go along with your desire or goals by having in your mind an alternative or compromise plan .

Barry Lubetkin is co-director of the Institute for Behavior Therapy in Manhattan.  If you have a question or concern that you would like his opinion on, please leave a comment here.

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Marriage Equality

Marriage Equality (Photo credit: charlesfettinger)

Dr. Barry Lubetkin offers us some sound advice and a very good tip on how to keep the “caring for each other” in our marriage. 

Mental health for marriage.

Marriage is in trouble. Not only has the divorce rate of 45 to 50% not abated but the rate of cheating amongst both men and women continues to increase. And what of the future ,where couples texting and not talking has become the standard way of courting and communicating.
 
Many of my married couple patients report that “lack of appreciation and compassion ” for the other is a major potential destroyer of relationships. While I believe that EVERY couple should enter couples therapy for regular tune ups throughout their time together, that is an ideal that most won’t follow. So here’s a tip to help strengthen your relationship:
 
Each person creates a CARING LIST, where you list the 5 specific ways that your partner can make you feel cared about and cherished……….ex. “Kiss me each morning when you leave for work”……”prepare dinner once a week for the kids”…….”tell me about your day and ask me about mine”……..give me a brief massage every Monday evening to unstress me after work”.  Make the requests specific and behavioral, not vague like “make me happy”
 
Exchange the lists, post them somewhere in the apartment or house, and each person is to fulfill at least three of the others requests each week. Make new lists when needed. Don’t play tit for tat by waiting for your partner to do your requests first. Note and discuss at the end of the week how each of you did in fulfilling the caring needs of the other.  It works! Try it!
Barry Lubetkin, Phd, ABBP is co-director of the Institute for Behavior Therapy in Manhattan.  Dr. Lubetkin has written two widely acclaimed books. Bailing Out (Simon and Schuster and Prentice Hall Press) and Why Do I Need You To Love Me In Order To Like Myself (Longmeadow and Borders Press). In addition, his 3-disc audio series on treating insomnia Dr. Barry’s Sound Asleep has recently been published. 
 
 
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Capturing the Gold!

Capturing the Gold!

I have probably watched every minute of every discipline of the figure skating competitions.  The Ice Dancing is a joy to watch, seeing the team performance of Plushenko had me saying, “oh my God” out loud.  I loved the earnestness of the young female skaters and admired the strength and form of the male skaters.  Jason Brown had me smiling broadly and lifted in spirit.  

I’m no judge and still, even after all those hours, I have difficulty distinguishing a Salchow from a Triple Lutz but I do know what looks good, is fluid, smooth, and I’m very aware of the musicality and choreography in the performances.  SOOOOoooo it was an unpleasant surprise when last night, the judges scored Sotnikova over Yuna Kim.  Kim did not jump as much as Adelina but she jumped better, Yuna did not twirl as much or as fast as Sotnikova but she skated more fluidly, smoothly and  cleaner.  So as we say when we are not within earshot of a TV microphone, “WTF”?  The following article is by Kevin Fallon, and appeared in The Daily Beast.

Sotnikova Beat Kim Yu-Na? Figure Skating Is Probably Corrupt (But We Knew That)

Maybe it was rigged. Maybe it wasn’t. Maybe the judges scored the Russian skater generously because they just wanted to be done with it all and get out of Sochi alive.

Adelina Sotnikova skated beautifully Thursday night, the night she won the gold medal for women’s figure skating…and the night she sparked a global inferno of anger.

The little 17-year-old Russian cherub lutzed and salchowed like she was born for that expressed purpose. She spun like the Tasmanian Devil after four bumps of cocaine. She flitzed and flounced around the arena like a spritely Soviet fairy. And she won the gold medal. It is bullshit.

It is ridiculous because, as much of a leaping, spinning, talented nymph on skates Sotnikova is, and as spectacular as her performance was—the best of her life—South Korea’s Kim Yu-Na, the reigning gold medalist, was better. Sure, when you break down the scores of the two skaters, Sotnikova scored higher, which should mean she was better. But a world of people who care so very passionately about figure skating for exactly 10 days every four years beg to differ.

They think that Sotnikova’s scores were inflated, that the judging was rigged—and possibly because Sotnikova is Russian and the Olympics were in Russia and Russians are corrupt and evil and dastardly, according to all the Saturday morning cartoons we watched as kids.

More, the “was Sotnikova’s win rigged” controversy is just the latest in an astonishing number of scandals for a sport in which 80-pound girls twirl around on ice in glittery dresses for four minutes. Here’s the evidence everyone is citing to argue that Sotnikova’s scores were juiced in order for her to triumph over Kim.

First of all, everyone has eyes. This is an important one, because everyone’s eyes saw two very distinct things: Sotnikova totally effed up a jump, bungling a landing, while Kim skated an absolutely flawless routine with nary a hair on her head wisping out of place.

But perhaps our eyes collectively deceived us, in which case it’s time to get into the nitty-gritty of the score. The Wire’s Alex Abad-Santos helps out. So the first thing everyone needs to know is that Sotnikova started with a higher base level score than Kim, because the technical difficulty of Sotnikova’s routine was much higher than Kim’s. Fair. You gotta play the game, gurl, and the game is to jump and spin a lot. So when Sotnikova stepped out of her jumping combination, the judges did penalize her. But because she had more triple jumps overall than Kim, the penalty still had Sotnikova scoring higher.

But wait! There’s more!

While technically superior, Sotnikova was the Joey Fatone of the group.

Skaters are also scored on choreography and artistry. There’s a third name in this whole judge-rigging brouhaha, and that’s Italy’s Carolina Kostner. Kostner is known for her choreography. It’s kind of her thing. She was, according to skating experts, spellbinding on Thursday night. (Personally, I thought her choreography a little too closely resembled Liz Lemon’s dance moves in the opening credits for the Dealbreakers Talk Show. But I’m no expert.) In any case, everyone who knows about these things agreed that, while technically superior, Sotnikova was the Joey Fatone of the group. She was leagues behind her competition. Her artistry and choreography was way worse than everyone else’s, with moves “you might see a trainer perform on a sea mammal,” according to Abad-Santos.

And yet, Sotnikova’s choreography scores were higher than Kostner’s. And—remember?—choreography is Kostner’s thing! They only explanation, according to the internet: it was rigged!

There’s more evidence, too, to support the “Rigged for the Russians” conspiracy theory, specifically about inflated judges’ scores.

For example, tricks are given Grade of Execution scores, ranging from -3 to +3 depending on how well the trick was performed. There were two judges—Abad-Santos lays down good evidence that they could be from Russia and the Ukraine—that flooded Sotnikova with +3s, even though she fell, and Kim with just +1s, even though she was flawless. Plus, in other events at the Olympics, Russians like the gold medal-winning pairs team of Tatiana Volosozhar and Maxim Trankov were given positive Grade of Execution points even though Volosozhar botched a jump landing.

Here’s the real eyebrow-raiser, though. “Not only do Sotnikova’s scores look like an anomaly compared to her peers, they put Sotnikova’s performance up there with some of the best scores in history,” says Abad-Santos. She improved her best free skate score by 20 points. It was, truly, the best skate of her life, but that jump would be like getting a 1000 on a practice SAT and suddenly getting a 1400 when you take the real thing. (1600-point scale…I won’t even attempt to understand that new 2400-point system.) Sotnikova’s teammate Julia Lipnitskaya was also scored, according to experts, way higher than she should have been.

So…score inflation for the Russians! (Allegedly!) Is it true? Who knows. Was it on purpose? Who could prove. Maybe there was rigging by Russian judges. Maybe there wasn’t. Maybe the other judges scored the Russian skaters generously because they just wanted to be done with it all and get out of goddamned Sochi alive.

How does Kim Yu-Na being absolutely freaking robbed of the gold medal (we love you, Kim) rank among past controversies? Well, figure skating, it turns out, has more scandals than sequins.

There was that time Nancy Kerrigan was whacked in the knee by a baton-wielding assailant in 1994. Hit in the knee! I mean, can you imagine? And it turned out that her U.S. teammate Tonya Harding was charged with helping the attacker, her ex-husband. It was the eye-opening moment for sports fans: figure skating is as brutal as it is bedazzled.

And in 1998, at the Nagano Games, a Canadian judge recorded a phone conversation with a Ukrainian judge in which the Ukrainian judge asked the Canadian to goose the scores for Ukraine in exchange for the same favor for Canada’s ice dancing team.

There was also that time that Russia actually did cheat! Well, along with France. But still! In 2002, adorable Canadians Jame Sale and David Pelletier pulled the original Kim Yu-Na and skated the perfect, should’ve been gold medal-winning pairs skate, only to finish behind the inferior Russian team. A French judge later admitted that she fudged the Canadians’ scores to help the Russians, in exchange for Russia to help France in ice dancing. (In the end, everyone made nice and Sale and Pelletier were also given a gold.)

The good ole U.S. isn’t immune to the corruption of the sport, either. In 2006, a U.S. judge sparked a flurry of bad press after an email had leaked that he sent to other judges and skating officials encouraging them to be exceptionally scrutinous of Russian frontrunner Evgeni Plushenko’s skating, as he apparently has bad transitions. It led to accusations of a North American lobby against Europe’s skaters.

Even in Sochi, a controversy erupted when the U.S. named Ashley Wagner to the Olympic team on the merits of her entire body of work—even though it was Mirai Nagasu who actually qualified for the team at the U.S. Championships and not Wagner.

OK, sure. There’s probably corruption in every sport, or competition, not matter how silly and slight the sport or competition might look to outsiders. I mean, remember how outraged Elton John was when he thought American Idol was corrupt and racist? Hell, there’s probably even score rigging at the Westminster Kennel Club Dog Show.

But that knowledge doesn’t mend the heartbreak we all felt watching Kim Yu-Na gingerly dab the tears from her eyes as she learned that her phenomenal skate had only, and perhaps unjustly, earned her the silver medal. It was—and I apologize for not having the class and grace in the absence of justice as Kim Yu-Na—total bullshit.

 

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Sorry I am posting this mental health tip from Dr. Barry Lubetkin so late in the day….clearly a sign that I didn’t get enough sleep last night.  Had an early important meeting so of course I didn’t get to bed till after midnight and then couldn’t sleep!!

“Insomnia or sleeplessness is occurring in epidemic proportions. Stress, unemployment,drug,alcohol, and internet addictions, and a variety of mental and emotional disorders make getting a good nights sleep more and more difficult to achieve. 
 
Here are some solid scientifically sound non medication tips to avoid tossing and turning for hours……..For 3 continuous weeks try the following:
1.Stop napping throughout the day
2.Wake up at the same time each morning, even on weekends and get into bed at the same time every night.
3.If not asleep within 30 minutes of lying down,get out of bed and sit and relax quietly in another room for 20 minutes before returning to bed
4.Bed is for sex and sleep! No reading,no visible clock,no eating in bed.
5.No caffeine or exercise within 2 hours of bedtime.
6.Challenge irrational ideas about sleep……eg.I MUST get 8 hours of sleep every night; My next day will be ruined completely if I don’t sleep enough.
 
Of course,consultation with a professional sleep specialist must be considered when sleeplessness persists despite self help efforts.”
insomnia
Lubetkin is the recipient of several awards and honors within the profession of Psychology including The Annual Meritorious Service Award from The Association for the Advancement of Behavior Therapy (currently ABCT). He served as President of The American Board of Behavior Therapy for 12 years and has served on numerous editorial and review boards. He also served as the Editor in Chief of the Diplomate, the first journal published by the American Board of Professional Psychology. In addition to his 2 books, he has published over 50 articles in the fields of Cognitive Behavior Therapy and General Psychology.

 

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YES this is one of those ONLY IN NEW YORK experiences!  Every year I look forward to February….no I don’t love the gray days, or the ice and snow piled up at the bus stops, or the black slimy slush on the subway stairs.  BUT February brings City Bakery’s Annual Hot Chocolate Festival.  

Every day of the month, St. Maury Rubin (not to be confused with St. Valentine who only has one feast day) celebrates February with a different delicious blend of his famous hot chocolate every day.  I really don’t have the words to describe this liquid orgasmic treat.  It’s creamy, feels thick in your mouth, the hot steam sends chocolate thrills up your nose while a smooth molten very chocolatey, chocolate slithers down your throat.  I swear my eyes roll back in my head when I drink, no sip, this heavenly concoction.

See for yourself just what can be had this month! 

Oh Heavenly Days!

Oh Heavenly Days!

Once a chocoholic, kind of a hard to get over this particular addiction since the only 12 Step Program I know goes like this: “Never Be More Than 12 Steps Away From Chocolate”.  In 2012 I posted this: HOT CHOCOLATE on Steroids!

I’m not alone in my devotion to the February rite of steaming delight – No, City Bakery’s Hot Chocolate has a cult following.  This year I noted that another blogger who I follow, FOOD BY SKYLAR, posted an homage to City Bakery and Maury’s Hot Chocolate and I am adding the link to her blog post below.  Maybe I’ll run into her on Malted  Milk Hot Chocolate day! A Hot Chocolate a Day Makes February the Best Month Ever

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worried square

worried square (Photo credit: cathredfern) 

 A long time ago I read that two very useless emotions were worry and guilt; Prevalent among us all and hard habits to break!  The following words of advice are from Dr. Barry Lubetkin, Phd, ABBP.

” More about worry!
Remember ,worrying is a mental habit…….some thing that is repeated involuntarily without our being aware that it has started. So it will take frequent practice of actions that are incompatible with worrying to reduce the habit of worrying. Psychologists at Pennsylvania State University have developed a series of anti worrying steps.:

1. Write down the specific thoughts that you have when you worry..

2.Analyze each thought……is there evidence for it? What is its real probability of occurring? Have you handled such situations in the past without dire consequences.? A year after the event will it really make a major difference in your life.? Couldn’t you survive and move on even if the worst happens?
Write down your answers.

3.Use these new more adaptive thoughts whenever you notice a worrisome thought throughout the day. Remind yourself that they are more valid based on your logical evidence based analysis. With repeated practice they will begin to feel more true.

4.Designate a 15 minute period each day as your “worry time”. And only focus on your worries during this period. This will allow you to postpone worrisome thinking from other times,and do creative problem solving and rational thinking.

Dr Barry Lubetkin is the Director and founder of The Institute For Behavior Therapy in New York City. He is Board certified in both Clinical Psychology and Behavioral Psychology. He is the author of numerous academic and popular articles as well as two popular self-help books: “Bailing Out”and “Why Do I Need You to Love Me in Order to Like Myself”. He also has recorded the popular insomnia treatment CD set “Dr. Barry’s Sound Asleep.” The Institute for Behavior Therapy is the oldest privats.e Cognitive Behavior Therapy center in the United States founded in 1971. s have received treatment at the Institute.

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English: A man sleeping on the street of The B...

A man sleeping on the street of The Bowery in Manhattan. The sign is for luxury condos. (Photo credit: Wikipedia)

There are worse places to be homeless, cold and hungry than New York.  While it’s true that the City has thousands of homeless, we also have hundreds of soup kitchens and shelters.  On the coldest of nights the Department of Homeless Services sends out vans seeking homeless on the streets and offering to take them to a shelter.  A surprising number refuse assistance preferring to spend nights on subway platforms, in Penn Station or the Port Authority.  

However, on a cold February night, a hot meal can be very inviting.  Every Saturday night, Holy Trinity Church on the Upper East Side feeds anywhere from 100 to 150 homeless or near homeless men and women a delicious hot meal.  I’m not a member of this congregation but I admire their commitment to the neighborhood so much that I try to support their programs.  I’ve been to a couple of their fund-raisers and today I volunteered to work in the soup kitchen. You can learn more about all that they do at https://www.facebook.com/groups/542527365780030/ which is the Holy Trinity Neighborhood Center Facebook page.

This is the second time I’ve done this and it is quite an experience.  I wonder who and how many people does it take just to organize such an undertaking?  Where does the all the food come from?  How do these volunteers know how to prepare and cook for so many people?  Where do all the volunteers come from?  Today there were many high school kids working with a couple of their mothers.  I just strolled over and announced I was here to help.

My first task was to cut up loaves of bread and fill bread baskets.  Thankfully, the church has reached out to local merchants such as Eli’s Bread which is located nearby.  Eli Zabar makes great bread and apparently donates a LOT of bread.  Even after filling 18 baskets, there were many loaves left over.  Then I helped set the tables.  There were 17 tables set for six people each.  I folded napkins and some of the kids put them out along with the silverware.  I couldn’t help myself – I told one of the girls that the folded edge of the napkin had to be facing the dish and that the knives should have the serrated edge facing the plate.  I think they thought I was a bit OCD – of course they’re right BUT I also think that there is no reason not to have the table set properly.

The people who come to eat are treated with great respect by everyone and in return we are rewarded with many sincere “thank-you’s” and compliments about the food.  The men and women who come are not all homeless  but all are in need.  Tonight, because it was so cold out, many of them kept their coats on, some shed three and four layers of sweaters and jackets.  

This evening the meal was shredded chicken breast served over rice and with fresh broccoli, carrots, onions and red peppers in a light soy sauce.  Many of the volunteers are regulars and they set about cooking the chicken breasts, steaming the vegetables…things just kept humming along.  

Dinner was served around 5:15 and there is a huge core regular “guests”.  I can’t remember when I last volunteered but it was many months ago and I recognized several of the diners.  As soon as they sat down, they dove into the bread and we poured coffee.  I noted how many only wanted a half a cup – because they fill the rest of the cup with half and half and at least 5 people asked me if I could find real sugar;  They didn’t want the Sweet and Low.   Along with their plate of food which is served to each person, dessert was also served.  Chocolate cheese cakes and mini cupcakes and since Valentine’s Day is coming up, each place setting had a York peppermint heart and a Dove chocolate heart.  

The cold actually kept people away or perhaps they were ensconced in some shelter for the night because we served slightly less than 100 people and had a lot of food left over.  Seconds were offered and the line was long.  Some of the men and women had containers with them and they stashed away bread, butter, food and dessert.  I watched men put bread in their pockets.  The people who come to Holy Trinity on a Saturday night are very appreciative of the meal  and the work that goes into serving them.  Everyone was very polite and said thank you even when you just refilled their coffee cup.  

We made up 12 plates, a basket of bread and desserts for the twelve people who are registered and allowed to spend the night in church basement.  Holy Trinity is such an integral part of the community!  Every Tuesday afternoon, they feed the elderly in the neighborhood a lovely lunch.  All are welcome, no questions are asked and the occasion provides much-needed socialization for some in the neighborhood who don’t get out much and don’t have family watching over them.

I’m so glad I went this evening;  It helps me put my life in perspective.  I went because I made a commitment to myself that this year  I would:  “Do all the good you can. By all the means you can. In all the ways you can. In all the places you can. At all the times you can. To all the people you can. As long as ever you can.”  Actually that quote from John Wesley was posted by my friend Dave Liston who is very involved with Holy Trinity’s Neighborhood Center programs. I read it and it just got to me.  I’m trying  anyway!

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Worry

Worry (Photo credit: StormKatt)

Good morning everybody – It’s Monday morning and it’s snowing (again) but I’m not going get crazy over it.  I’m pleased to present the second mental health tip from Dr. Barry Lubetkin.  

“Can you Guess what the most common psychiatric diagnosis presented to mental health professionals is?  It is called Generalized Anxiety Disorder (GAD), and its primary symptom is persistent anxious worrying. Worrying that leads to headaches,stomach problems,agitation,etc,etc.  Not just rational worrying about the IRS audit, or concern about your hospitalized child, but chronic irrational worrying about relatively trivial matters…….”.Will the hairdresser get it right?” “Did I say the wrong thing on last nights date?” Those who suffer from GAD often anticipate the next event in their life with terror, with difficulty concentrating. Judgement is often flawed.

GAD is best treated with Rational Emotive Behavior Therapy, where the sufferer is taught to challenge the basic irrationality of their anticipatory anxiety with more reasonable beliefs that demonstrate there is little evidence to support their fears. Meditation,relaxation training,and sometimes medication are also beneficial.  Patients are taught to quiet down their catastrophizing by modifying their “what if” thinking with “so what if” thinking!”

**Barry Lubetkin received his Doctorate in Clinical Psychology from Kent State University in 1969 and was a fellow in the National Institute of Mental Health Alcoholism Training Program at Harvard Medical School and Massachusetts General Hospital and an NIMH fellow in Behavior Modification at Stony Brook. He has had faculty positions at Rutgers, Hofstra, Stony Brook, Yeshiva and New York University. Lubetkin has lectured internationally as well as being a popular guest expert on TV shows such as Oprah, Sally, CNN, Fox and others.

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